5-Benzothiazolesulfonamide derivatives for the topical treatment of elevated intraocular pressure

ABSTRACT

Novel carboxylic acid esters of 5-hydroxy-2-benzothiazolesulfonamide are shown to be useful for the topical treatment of elevated intraocular pressure. Ophthalmic compositions including drops and inserts are also disclosed, as well as methods for preparing the novel compounds.

DISCLOSURE OF THE INVENTION

This invention relates to novel esters of5-hydroxy-2-benzothiazolesulfonamide which are useful in the reductionof elevated intraocular pressure. More particularly this inventionrelates to esters having the structural formula: ##STR1## where R ishereinafter defined as well as the ophthamologically acceptable saltsthereof. This invention especially relates to ophthalmic compositionsthat are employed in the treatment of elevated intraocular pressure,especially when accompanied by pathological damage such as in thedisease known as glaucoma.

BACKGROUND OF THE INVENTION

Glaucoma is an ocular disorder associated with elevated ocular pressureswhich are too high for normal function and may result in irreversibleloss of visual function. If untreated, glaucoma may eventually lead toblindness. Ocular hypertension, i.e., the condition of elevatedintraocular pressure without optic nerve head damage or characteristicglaucomatous visual field defects, is now believed by manyophthalmologists to represent the earliest phase of glaucoma.

Many of the drugs formerly used to treat glaucoma proved not entirelysatisfactory. Indeed, few advances were made in the treatment ofglaucoma since pilocarpine and physostigmine were introduced. Onlyrecently have clinicians noted that many β-adrenergic blocking agentsare effective in reducing intraocular pressure. While many of theseagents are effective in reducing intraocular pressure, they also haveother characteristics, e.g. membrane stabilizing activity, that are notacceptable for chronic ocular use.(S)-1-tert-butylamino-3-[(4-morpholino-1,2,5-thiadiazol-3-yl)oxy]-2-propanol,a β-adrenergic blocking agent, was found to reduce intraocular pressureand to be devoid of many unwanted side effects associated withpilocarpine and, in addition, to possess advantages over many otherβ-adrenergic blocking agents, e.g. to be devoid of local anestheticproperties, to have a long duration of activity, and to display minimaltolerance.

Although pilocarpine, physostigmine and β-blocking agents reduceintraocular pressure, none of these drugs manifests its action byinhibiting the enzyme carbonic anhydrase and, thereby, impeding thecontribution made by the carbonic anhydrase pathway to aqueous humorformation.

Agents referred to as carbonic anhydrase inhibitors, block or impedethis inflow pathway by inhibiting the enzyme, carbonic anhydrase. Whilesuch carbonic anhydrase inhibitors are now used to treat intraocularpressure by oral, intravenous or other systemic routes, they therebyhave the distinct disadvantage of inhibiting carbonic anhydrasethroughout the entire body. Such a gross disruption of a basic enzymesystem is justified only during an acute attack of alarmingly elevatedintraocular pressure, or when no other agent is effective. Despite thedesireability of directing the carbonic anhydrase inhibitor only to thedesired ophthalmic target tissue, no topically effective carbonicanhydrase inhibitors are available for clinical use.

SUMMARY OF THE INVENTION

Compositions of the novel compounds in the formula above are found toinhibit carbonic anhydrase and, thereby, lower intraocular pressure whentopically administered to the mammalian eye, particularly in the form ofdrops or inserts.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

An embodiment of the present invention includes a compound of the aboveformula where R represents C₁ to C₁₈ alkyl, such as methyl, ethyl,butyl, isopropyl, octyl, dodecyl and the like; C₃ to C₆ cycloalkyl suchas cyclopropyl, cyclobutyl, cyclopentyl and cyclohexyl; C₃ to C₆cycloalkyl C₁ to C₁₈ alkyl; C₁ to C₁₈ alkyl C₃ to C₆ cycloalkyl;haloalkyl, where the term halo includes chloro, fluoro, or bromo; arylwhere the aryl group can be substituted with one or more substituentsselected from the group consisting of C₁ to C₁₀ alkyl, either straightor branched, halo such as bromo, chloro or fluoro and alkoxy such asmethoxy or ethoxy; arylalkyl where the alkyl moiety has from 1 to 4carbon atoms and the aryl moiety can be unsubstituted or substitutedwith halogen such as fluoro, chloro or bromo or C₁ to C₃ alkyl; C₂ toC₁₈ hydroxyalkyl; C₂ to C₁₈ amino alkyl; C₂ to C₆ alkenyl; C₂ to C₆alkynyl and aryl C₂ to C₆ alkenyl such as cinnamyl. In theaforementioned radicals, the halo, hydroxy, or amino functions canappropriately be placed on either a terminal carbon or a carbon situatedbetween the terminal carbon and the carboxylate group. R also representsaryl or substituted aryl wherein the substituent is C₁ to C₁₈ alkyl orhalo. The term alkyl, alkenyl and alkynyl includes straight or branchedmoieties.

Representative carbonic anhydrase inhibitors of this invention include:

(2-sulfamoyl-5-benzothiazolyl) benzoate

(2-sulfamoyl-5-benzothiazolyl) propionate

(2-sulfamoyl-5-benzothiazolyl) butyrate

(2-sulfamoyl-5-benzothiazolyl) 2,2-dimethylpropionate

(2-sulfamoyl-5-benzothiazolyl) cyclopentaneacetate

(2-sulfamoyl-5-benzothiazolyl) phenylacetate

(2-sulfamoyl-5-benzothiazolyl) cyclohexanecarboxylate

(2-sulfamoyl-5-benzothiazolyl) acetate

Especially preferred are those compounds where R is alkyl and mostparticularly preferred are those compounds where R is butyl, eitherstraight or branched chain, and 2,2-dimethylpropyl.

The compounds of this invention are most suitably prepared by reacting acompound ##STR2## with an appropriate acyl halide, particularly an acylchloride of the formula ##STR3## or an acid anhydride of the formula##STR4## where R has the heretofore defined meaning.

The reaction is conducted in a suitable inert solvent such asdimethylformamide, pyridine, ethyl acetate, tetrahydrofuran or benzeneand the like with an equimolar amount of a hydrohalide acceptor when theacylating agent is an acyl halide or with a carboxylic acid acceptorwhen the acylating agent is an acid anhydride. Bases such astriethylamine, pyridine and the like may be employed for this purpose.

The reaction may be conducted with or without a catalyst at temperaturesof from 0° C. to the boiling point of the solvent used but preferablyfrom 15° C. to 50° C.

When a catalyst is employed, a 4,4-dialkylaminopyridine such as4-dimethylaminopyridine or 4-pyrrolidinopyridine is preferred.

The following examples describe the general preparative methodsemployed. Those examples that do not include an appendage describinganalytical data are given as only illustrative, not having been actuallyconducted. They are nonetheless believed consistent with the methodsdescribed and fully workable with only the actual yield in doubt.

EXAMPLE 1 5-Hydroxy-2-benzothiazolesulfonamide

A stirred suspension of 5-methoxy-2-benzothiazolesulfonamide (11.8 g,0.048 mole) and aluminum chloride (28 g, 0.21 mole) in heptane (500 ml)is heated at reflux for 21/2 hours then cooled. The aluminum chloridecomplex is decomposed by the addition of ice water (400 ml) to give 6.5g of 5-hydroxy-2-benzothiazolesulfonamide which melts at 224° C. afterreprecipitation from dilute sodium hydroxide with dilute hydrochloricacid.

Analysis for C₇ H₆ N₂ O₃ S₂. Calculated: C, 36.51; H, 2.63; N, 12.17.Found: C, 36.84; H, 2.64; N, 11.97.

EXAMPLE 2 2-Sulfamoyl-5-benzothiazolyl)Butyrate

Butyric anhydride (4.7 ml, 0.03 mole) is added dropwise over a 5 minuteperiod to a solution of 5-hydroxy-2-benzothiazolesulfonamide (6.5 g,0.028 mole), 4-dimethylammopyridine (200 mg) and triethylamine (4 ml0.028 mole) in dimethylformamide (30 ml). The reaction mixture isstirred at 25° C. for 1.5 hours, then poured into ice water and excesshydrochloric acid which is extracted with ether, washed with water anddried over magnesium sulfate. The ether is evaporated and the residuechromatographed on silica gel (150 g) eluting with ethyl acetate-hexane(1:1) to give 1.9 g of (2-sulfamoyl-5-benzothiazolyl)Butyrate whichmelts at 132° C. after recrystallization from benzene.

Analysis for C₁₁ H₁₂ N₂ O₄ S₂. Calculated: C, 43.99; H, 4.03; N, 9.33.Found: C, 44.13; H, 3.94; N, 9.32.

EXAMPLE 3 2-Sulfamoyl-5-benzothiazolyl 2-Phenylacetate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (4.6 g.,0.02 mole), triethylamine (2.8 ml., 0.02 mole) and4-dimethylaminopyridine (200 mg., catalyst) in dimethylformamide (20ml.), is added phenylacetic anhydride (5.2 g., 0.02 mole). The reactionmixture is stirred for 2 hours, poured into ice water, acidified withhydrochloric acid and extracted with ether. The organic extract iswashed with water and dried over magnesium sulfate. The ether isdistilled at reduced pressure and the residue chromatographed on silicagel (150 g., 70-230 mesh, U.S. Standard) using ethylacetate-hexane (1:1)as the eluent to give 2-sulfamoyl-5-benzothiazolyl 2-phenylacetate.

EXAMPLE 4 2-Sulfamoyl-5-benzothiazolyl 2,2-Dimethylpropionate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (7.0 g.,0.03 mole), triethylamine (4.2 ml., 0.03 mole) and4-dimethylaminopyridine (200 mg., catalyst) in dimethylformamide (25ml.) is added 2,2-dimethylpropionic anhydride (6.2 ml., 0.03 mole). Thereaction mixture is stirred for 11/2 hours, poured into ice water,acidified with hydrochloric acid and extracted with ether. The organicextract is washed with water, brine and dried over magnesium sulfate.The ether is distilled at reduced pressure and the residue iscrystallized from toluene to give 2-sulfamoyl-5-benzothiazolyl2,2-dimethylpropionate.

EXAMPLE 5 2-Sulfamoyl-5-benzothiazolyl Benzoate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (7.0 g.,0.03 mole), triethylamine (4.2 ml., 0.03 mole) and4-dimethylaminopyridine (200 mg., catalyst) in dimethylformamide (25ml.) is added benzoyl chloride (1.4 g., 0.01 mole). The reaction mixtureis stirred at 25° C. for 11/2 hours and then poured into ice water (150ml.) containing excess hydrochloric acid to give2-sulfamoyl-5-benzothiazolyl benzoate.

EXAMPLE 6 2-Sulfamoyl-5-benzothiazolyl 2-(4-Chlorophenyl)acetate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide 1.15 g.,0.005 mole) triethylamine (0.7 ml, 0.005 mole) and4-dimethylaminopyridine (5 mg, catalyst) in dimethylformamide (10 ml) isadded 2-(4-chlorophenyl)acetyl chloride (0.8 ml). The reaction mixtureis stirred for 2 hours, poured into ice water, acidified withhydrochloric acid and extracted with ether. The organic extract iswashed with water and dried over magnesium sulfate. The ether isdistilled at reduced pressure and the residue chromatographed on silicagel as eluant (130 g, 70-230 mesh) using ethylacetatehexane (1:1) togive 2-sulfamoyl-5-benzothiazolyl 2-(4-chlorophenyl)acetate.

EXAMPLE 7 2-Sulfamoyl-5-benzothiazolyl Cyclopentaneacetate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (2.3 g.,0.01 mole), 4-dimethylaminopyridine (100 mg., catalyst) andtriethylamine (1.4 ml., 0.01 mole) in dimethylformamide (20 ml.) isadded cyclopentaneacetyl chloride (1.6 g., 0.01 mole). The reactionmixture is stirred at 25° C. for 2 hours, poured into ice water andexcess hydrochloric acid and extracted into ether. The organic extractis washed with water and dried over magnesium sulfate. The ether isevaporated and the residue chromatographed on silica gel (130 g. 70-230mesh) to give 2-sulfamoyl-5-benzothiazolyl cyclopentaneacetate.

EXAMPLE 8 2-Sulfamoyl-5-benzothiazolyl 3-Phenyl-2-propenoate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (2.3 g.,0.01 mole), 4-dimethylaminopyridine (100 mg., catalyst) andtriethylamine (1.4 ml., 0.01 mole) in dimethylformamide (20 ml.) isadded cinnamoyl chloride (1.7 g., 0.01 mole). The reaction mixture isstirred at 25° C. for 2 hours and then poured into ice water and excesshydrochloric acid to give 2-sulfamoyl-5-benzothiazolyl3-phenyl-2-propenoate.

EXAMPLE 9 2-Sulfamoyl-5-benzothiazolyl Cyclohexanecarboxylate

By following substantially the procedure described in Example 2, butsubstituting for the butyric anhydride therein described an equimolaramount of cyclohexane carboxylic acid anhydride there is obtained2-sulfamoyl-5-benzothiazolyl cyclohexanecarboxylate.

EXAMPLE 10 2-Sulfamoyl-5-benzothiazolyl Propionate

By following substantially the procedure described in Example 5, butsubstituting for the benzoyl chloride therein described an equimolaramount of propionyl chloride there is obtained2-sulfamoyl-5-benzothiazolyl propionate.

EXAMPLE 11 2-Sulfamoyl-5-benzothiazolyl-3-chloro-2,2-dimethylpropionate

By following substantially the procedure described in Example 5, butsubstituting for the benzoyl chloride therein described an equimolaramount of 3-chloro-2,2-methylpropionyl chloride there is obtained2-sulfamoyl-5-benzothiazolyl 3-chloro-2,2-methyl propionate.

EXAMPLE 12 2-Sulfamoyl-5-benzothiazolyl Hexanoate

By following substantially the procedure described in Example 2, butsubstituting for the butyric anhydride therein described an equimolaramount of hexanoic anhydride there is obtained2-sulfamoyl-5-benzothiazolyl hexanoate.

EXAMPLE 13 2-Sulfamoyl-5-benzothiazolyl Trifluoroacetate

By following substantially the procedure described in Example 2, butsubstituting for the butyric anhydride therein described an equimolaramount of trifluoroacetic anhydride there is obtained2-sulfamoyl-5-benzothiazolyl trifluoroacetate.

EXAMPLE 14 2-Sulfamoyl-5-benzothiazolyl Succinate

By following substantially the procedure described in Example 2, butsubstituting for the butyric anhydride therein described an equimolaramount of succinic anhydride there is obtained2-sulfamoyl-5-benzothiazolyl succinate.

EXAMPLE 15 2-Sulfamoyl-5-benzothiazolyl Acrylate

By following substantially the procedure described in Example 5, butsubstituting for the benzoyl chloride therein described an equimolaramount of acryloyl chloride there is obtained2-sulfamoyl-5-benzothiazolyl acrylate.

EXAMPLE 16 2-Sulfamoyl-5-benzothiazolyl 4-Methylbenzoate

By following substantially the procedure described in Example 5, butsubstituting for the benzoyl chloride therein described an equimolaramount of 4-methylbenzoyl chloride there is obtained2-sulfamoyl-5-benzothiazolyl 4-methylbenzoate.

EXAMPLE 17 2-Sulfamoyl-5-benzothiazolyl 4-Chlorobenzoate

By following substantially the procedure described in Example 5, butsubstituting for the benzoyl chloride therein described an equimolaramount of 4-chlorobenzoyl chloride there is obtained2-sulfamoyl-5-benzothiazolyl 4-chlorobenzoate.

EXAMPLE 18 Method 2: 2-Sulfamoyl-5-benzothiazolyl Benzoate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (17.25 g.,0.07 mole) and 4-dimethylaminopyridine (450 mg.) inN,N-dimethylformamide (70 ml.) is added a solution of benzoic anhydride(16.97 g., 0.075 mole) in N,N-dimethylformamide (50 ml.) dropwise over a1/2 hour period. The reaction mixture is stored for 3 hours then pouredinto ice-water to precipitate 2-sulfamoyl-5-benzothiazolyl benzoatewhich on trituration with ethyl acetate followed by recrystallizationfrom acetonitrile, then 1,2-dichloroethane.

EXAMPLE 19 2-Sulfamoyl-5-benzothiazolyl Acetate

To a stirred solution of 5-hydroxy-2-benzothiaziolesulfonamide (11.5 g.,0.05 mole) and 4-dimethylaminopyridine (300 mg.) inN,N-dimethylformamide (60 ml.) is added acetic anhydride (4.72 m., 0.05mole) dropwise over a 10 minute period. The reaction mixture is stirredfor 4 hours, then poured into ice-water with stirring to precipitate2-sulfamoyl-5-benzothiazolyl acetate.

EXAMPLE 20 2-Sulfamoyl-5-benzothiazolyl 2-Methylpropionate

To a stirred solution of 5-hydroxy-2-benzothiazole-sulfonamide (6.5 g.,0.028 mole), trimethylamine (4 ml.) and 4-dimethylaminopyridine (200mg.) in dimethylformamide (30 ml) is added isobutyric anhydride (4.7ml.). The reaction is stirred for 11/2 hours, poured into ice water anddilute hydrochloric acid, extracted into ether, washed with water, driedover magnesium sulfate and chromatographed on 200 grams of silica gel(ethylacetate - hexane, 1:1) to give 2-sulfamoyl-5-benzothiazolyl2-methylpropionate.

EXAMPLE 21 2-Sulfamoyl-5-benzothiazolyl Octanoate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (2.3 g.,0.01 mole) and 4-dimethylaminopyridine (100 mg.) in pyridine (15 ml.) isadded octanoyl chloride (1.7 ml.) over a period of 5 minutes. Thereaction mixture is stirred 11/2 hours, poured into ice water and dilutehydrochloric acid, extracted into ethylacetate, washed with water, driedover magnesium sulfate and chromatographed on 35 g of silica gel (ethylacetate - hexane 1:1) to give 2-sulfamoyl-5-benzothiazolyl octanoate.

EXAMPLE 22 2-Sulfamoyl-5-benzothiazolyl Crotonate

A stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (4.6 g., 0.02mole), triethylamine (2.8 ml.), and 4-dimethylaminopyridine (200 mg.) indimethylformamide (40 ml.) is treated with crotonic anhydride (3 m.)during a 5 minute period. The reaction mixture is stirred for 11/2 hoursthen poured into 600 ml of ice water and 5 ml. of hydrochloric acid togive of 2-sulfamoyl-5-benzothiazolyl crotonate.

EXAMPLE 23 2-Sulfamoyl-5-benzothiazolyl Dodecanoate

To a stirred solution of 5-hydroxy-2-benzothiazolesulfonamide (6.9 g.,0.03 mole), triethylamine (4.2 ml., 0.03 mole) and4-dimethylaminopyridine (100 mg.) in dimethylformamide (30 ml.) is addedlauroyl chloride (7 ml.) during a 1/2 hour period. The reaction mixtureis stirred for 2 hours at room temperature, poured into ice water andhydrochloric acid, extracted into ether, washed with water, ammoniumhydroxide (3 ml. diluted with water) dilute hydrochloric acid and driedover magnesium sulfate. The ether is evaporated at reduced pressure togive 2-sulfamoyl-5-benzothiazolyl dodecanoate.

For use in treatment of conditions relieved by the inhibition ofcarbonic anhydrase, the active compound can be administered eithersystemically, or, in the treatment of the eye, topically. The doseadministered can be from as little as 0.1 to 25 mg or more per day,singly, or preferably on a 2 to 4 dose per day regimen although a singledose is satisfactory.

When administered for the treatment of elevated intraocular pressure orglaucoma, the active compound is most desireably administered topicallyto the eye, although systemic treatment is also satisfactory.

When given systemically, the drug can be given by any route, althoughthe oral route is preferred. In oral administration the drug can beemployed in any of the usual dosage forms such as tablets or capsules,either in a contemporaneous delivery or sustained release form. Anynumber of the usual excipients or tableting aids can likewise beincluded.

When given by the topical route, the active drug or anophthalmologically acceptable salt thereof such as the sodium orpotassium salt is formulated into an ophthalmic preparation.

In such formulations, from 0.1% to 15% by weight can be employed. Theobjective is to administer a dose of from 0.1 to 10 mg per eye per dayto the patient, with treatment continuing so long as the conditionpersists.

Thus, in an ophthalmic solution, insert, ointment or suspension fortopical delivery, or a tablet, intramuscular, or intravenous compositionfor systemic delivery, the active medicament or an equivalent amount ofa salt thereof is employed, the remainder being carrier, excipients,preservatives and the like as are customarily used in such compositions.

In the form of an ophthalmic solution, the active drug can be employedas ophthalmologically acceptable salts such as the sodium and potassiumsalts obtained by neutralizing an equivalent of the sulfonamide with anequivalent of a suitable base such as, for example, an alkali metalhydroxide.

The active drug of this invention is most suitably administered in theform of ophthalmic pharmaceutical compositions adapted for topicaladministration to the eye such as a suspension, ointment, or as a solidinsert. Formulations of these compounds may contain from 0.01 to 15% andespecially 0.5% to 2% of medicament. Higher dosages as, for example,about 10%, or lower dosages can be employed provided the dose iseffective in reducing or controlling elevated intraocular pressure. As aunit dosage from between 0.001 to 10.0 mg, preferably 0.005 to 2.0 mg,and especially 0.1 to 1.0 mg of the compound is generally applied to thehuman eye, generally on a daily basis in single or divided doses so longas the condition being treated exists.

These hereinbefore described dosage values are believed accurate forhuman patients and are based on the known and presently understoodpharmacology of the compounds, and the action of other similar entitiesin the human eye. They reflect the best mode known. As with allmedications, dosage requirements are variable and must be individualizedon the basis of the disease and the response of the patient.

The thrust of this invention as hereinbefore stated is to provide anocular antihypertensive agent for the eye, both human and animal, thatacts by inhibiting carbonic anhydrase and, thereby, impeding theformation of aqueous humor.

The pharmaceutical preparation which contains the active compound may beconveniently admixed with a non-toxic pharmaceutical organic carrier, orwith a non-toxic pharmaceutical inorganic carrier. Typical ofpharmaceutically acceptable carriers are, for example, water, mixturesof water and water-miscible solvents such as lower alkanols oraralkanols, vegetable oils, polyalkylene glycols, petroleum based jelly,ethyl cellulose, ethyl oleate, carboxymethylcellulose,polyvinylpyrrolidone, isopropyl myristate and other conventionallyemployed acceptable carriers. The pharmaceutical preparation may alsocontain non-toxic auxiliary substances such as emulsifying, preserving,wetting agents, bodying agents and the like, as for example,polyethylene glycols 200, 300, 400 and 600, carbowaxes 1,000, 1,500,4,000, 6,000 and 10,000, antibacterial components such as quaternaryammonium compounds, phenylmercuric salts known to have cold sterilizingproperties and which are non-injurious in use, thimerosal, methyl andpropyl paraben, benzyl alcohol, phenyl ethanol, buffering ingredientssuch as sodium chloride, sodium borate, sodium acetates, gluconatebuffers, and other conventional ingredients such as sorbitanmonolaurate, triethanolamine, oleate, polyoxyethylene sorbitanmonopalmitylate, dioctyl sodium sulfosuccinate, monothioglycerol,thiosorbitol, ethylenediamine tetracetic acid, and the like.Additionally, suitable ophthalmic vehicles can be used as carrier mediafor the present purpose including conventional phosphate buffer vehiclesystems, isotonic boric acid vehicles, isotonic sodium chloridevehicles, isotonic sodium borate vehicles and the like. Thepharmaceutical preparation may also be in the form of a solid insert.

While many patients find liquid medication to be entirely satisfactory,others may prefer a solid medicament that is topically applied to theeye, for example, a solid dosage form that is suitable for insertioninto the cul-de-sac. To this end the carbonic anhydrase inhibiting agentcan be included with a non-bioerodible insert, i.e. one which afterdispensing the drug remains essentially intact, or a bioerodible insert,i.e. one that either is soluble in lacrimal fluids, or otherwisedisintegrates. While the insert employed is not critical and thosedisclosed in U.S. Pat. Nos. 3,630,200 Higuchi; 3,811,444 Heller et al.;4,177,256 Michaels et al.; 3,868,445 Ryde et al.; 3,845,201 Haddad;3,981,303 Higuchi; and 3,867,519 Michaels, are satisfactory; in general,however, the insert described below is found preferable.

For example, one may use a solid water soluble polymer as the carrierfor the medicament. The polymer used to form the insert may be any watersoluble non-toxic polymer, for example, cellulose derivatives such asmethylcellulose, sodium carboxymethyl cellulose, or a hydroxy loweralkyl cellulose such as hydroxyethyl cellulose, hydroxypropyl cellulose,hydroxypropylmethyl cellulose and the like; acrylates such aspolyacrylic acid salts, ethyl acrylates, polyacrylamides; naturalproducts such as gelatin, alginates, pectins, tragacanth, karaya,chondrus, agar, acacia; the starch derivatives such as starch acetate,hydroxyethyl starch ethers, hydroxypropyl starch, as well as othersynthetic derivatives such as polyvinyl alcohol, polyvinyl pyrrolidone,polyvinyl methyl ether, polyethylene oxide, neutralized carbopol andxanthan gum, and mixtures of said polymer.

Preferably the solid insert is prepared from cellulose derivatives suchas methylcellulose, hydroxyethyl cellulose, hydroxypropyl cellulose orhydroxypropylmethyl cellulose or from other synthetic materials such aspolyvinyl alcohol, polyvinyl pyrrolidone, polyethylene oxide orpolyvinyl methylether. Hydroxypropyl cellulose, one of the preferredpolymers for the preparation of the insert, is available in severalpolymeric forms, all of which are suitable in the preparation of theseinserts. Thus, the product sold by Hercules, Inc. of Wilmington,Delaware, under the name KLUCEL such as KLUCEL HF, HWF, MF, GF, JF, LFand EF which are intended for food or pharmaceutical use, areparticularly useful. The molecular weight of these polymers useful forthe purposes described herein may be at least 30,000 to about 1,000,000or more. Similarly, an ethylene oxide polymer having a molecular weightof up to 5,000,000 or greater, and preferably 100,000 to 5,000,000 canbe employed. Further, for example, POLYOX, a polymer supplied by UnionCarbide Co., may be used having a molecular weight of about 50,000 to5,000,000 or more and preferably 3,000,000 to 4,000,000. Other specificpolymers which are useful are polyvinyl pyrrolidine having a molecularweight of from about 10,000 to about 1,000,000 or more, preferably up toabout 350,000 and esecially about 20,000 to 60,000; polyvinyl alcoholhaving a molecular weight of from about 30,000 to 1,000,000 or more,particularly about 400,000 and especially from about 100,000 to about200,000; hydroxypropylmethyl cellulose having a molecular weight of fromabout 10,000 to 1,000,000 or more, particularly up to about 200,000 andespecially about 80,000 to about 125,000; methyl cellulose having amolecular weight of from about 10,000 to about 1,000,000 or more,preferably up to about 200,000 and especially about 50 to 100,000; andCARBOPOL (carboxyvinyl polymer) of B. F. Goodrich and Co. designated asgrades 934, 940 and 941. It is clear that for the purpose of thisinvention the type and molecular weight of the polymer is not critical.Any water soluble polymers can be used having an average molecularweight which will afford dissolution of the polymer and, accordingly,the medicament in any desired length of time. The inserts, therefore,can be prepared to allow for retention and, accordingly, effectivenessin the eye for any desired period. The insert can be in the form of asquare, rectangle, oval, circle, doughnut, semi-circle, 1/4 moon shape,and the like. Preferably the insert is in the form of a rod, doughnut,oval or 1/4 moon. The insert can be prepared readily, for example, bydissolving the medicament and the polymer in a suitable solvent and thesolution evaporated to afford a thin film of the medicated polymer whichcan then be subdivided to prepare inserts of appropriate size.Alternatively the insert can be prepared by warming the polymer and themedicament and the resulting mixture molded to form a thin film.Preferably, the inserts are prepared by molding or extrusion procedureswell known in the art. The molded or extruded product can then besubdivided to afford inserts of suitable size for administration in theeye. The insert can be of any suitable size which readily fits into theeye. For example, castings or compression molded films having athickness of about 0.25 mm. to 15.0 mm. can be subdivided to obtainsuitable inserts. Rectangular segments of the cast or compressed filmhaving a thickness between about 0.5 and 1.5 mm. can be cut to affordshapes such as rectangular plates of 4×5-20 mm. or ovals of comparablesize. Similarly, extruded rods having a diameter between about 0.5 and1.5 mm. can be cut into suitable sections to provide the desired amountof medicated polymer. For example, rods of 1.0 to 1.5 mm. in diameterand about 20 mm. long are found to be satisfactory. The inserts may alsobe directly formed by injection molding. It is preferred that theophthalmic inserts containing the medicament of the present invention beformed so that they are smooth and do not have any sharp edges orcorners which could cause damage to the eye. Since the term smooth andsharp edges or corners are subjective terms, in this application theseterms are used to indicate that excessive irritation of the eye will notresult from the use of the insert.

The medicated ocular inserts can also contain plasticizers, bufferingagents and preservatives. Plasticizers suitable for this purpose must,of course, also be completely soluble in the lacrimal fluids of the eye.Examples of suitable plasticizers that might be mentioned are water,polyethylene glycol, propylene glycol, glycerine, trimethylol propane,di and tripropylene glycol, hydroxypropyl sucrose and the like.Typically, such plasticizers can be present in the ophthalmic insert inan amount ranging from 0% up to about 30% by weight. A particularlypreferred plasticizer is water which is present in amounts of at leastabout 5% up to 40%. In actual practice, a water content of from about10% to about 20% is preferred since it may be easily accomplished andadds the desired softness and pliability to the insert.

When plasticizing the solid medicinal product with water, the product iscontacted with air having a relative humidity of at least 40% until saidproduct picks up at least about 5% water and becomes softer and morepliable. In a preferred embodiment, the relative humidity of the air isfrom about 60% to about 99% and the contacting is continued until thewater is present in the product in amounts of from about 10% to about20%.

Suitable water soluble preservatives which may be employed in the insertare sodium bisulfate, sodium thiosulfate, ascorbate, benzalkoniumchloride, chlorobutanol, thimerosal, phenylmercuric acetate,phenylmercuric borate, parabens, benzyl alcohol and phenylethanol. Theseagents may be present in amounts of from 0.001 to 5% by weight of solidinsert, and preferably 0.1 to 2%.

Suitable water soluble buffering agents are alkali, alkali earthcarbonates, phosphates, bicarbonates, citrates, borates, and the like,such as sodium phosphate, citrate, borate, acetate, bicarbonate andcarbonate. These agents may be present in amounts sufficient to obtain apH of the system of between 5.5 to 8.0 and especially 7-8; usually up toabout 2% by weight of polymer. The insert may contain from about 1 mg.to 100 mg. of water soluble polymer, more particularly from 5 to 50 mg.and especially from 5 to 20 mg. The medicament is present from about 0.1to about 25% by weight of insert.

The following examples of ophthalmic formulations are given by way ofillustration.

EXAMPLE 24

    ______________________________________                                        Solution Composition                                                          ______________________________________                                        2-Sulfamoyl-5-Benzothiazolyl                                                                      1      mg.     15   mg.                                   Butyrate (I)                                                                  Monobasic sodium phosphate .2H.sub.2 O                                                            9.38   mg.     6.10 mg.                                   Dibasic sodium phosphate .12H.sub.2 O                                                             28.48  mg.     16.80                                                                              mg.                                   Benzalkonium chloride                                                                             0.10   mg.     0.10 mg.                                   Water for injection q.s. ad.                                                                      1.0    ml.     1.0  ml.                                   ______________________________________                                    

Compound I, phosphate buffer salts, and benzalkonium chloride are addedto and dissolved in water. The pH of the solution is adjusted to 6.8 andthe final solution diluted to volume. The solution is rendered sterileby filtration through a sterilizing filter.

EXAMPLE 25

    ______________________________________                                        2-Sulfamoyl-5-Benzothiazolyl                                                                           5 mg.                                                Butyrate (I)                                                                  petrolatum q.s. ad.      1 gram                                               ______________________________________                                    

Compound I and the petrolatum are aseptically combined.

EXAMPLE 26

    ______________________________________                                        2-Sulfamoyl-5-Benzothiazolyl                                                                           1 mg.                                                Butyrate                                                                      Hydroxypropylcellulose q.s.                                                                            12 mg.                                               ______________________________________                                    

Ophthalmic inserts are manufactured from compression molded films whichare prepared on a Carver Press by subjecting the powdered mixture of theabove ingredients to a compressional force of 12,000 lbs. (guage) at300° F. for one to four minutes. The film is cooled under pressure byhaving cold water circulate in the platen. Ophthalmic inserts are thenindividually cut from the film with a rod-shaped punch. Each insert isplaced into a vial, which is then placed in a humidity cabinet (88% R.H.at 30° C.) for two to four days. After removal from the humiditycabinet, the vials are stoppered and then capped. The vials containingthe hydrate insert are then autoclaved at 250° F. for 1/2 hour.

EXAMPLE 27

    ______________________________________                                        2-Sulfamoyl-5-Benzothiazolyl                                                                           1 mg.                                                Butyrate                                                                      Hydroxypropyl cellulose q.s. ad.                                                                       12 mg.                                               ______________________________________                                    

Ophthalmic inserts are manufactured from a solvent cast film prepared bymaking a viscous solution of the powdered ingredients listed above usingmethanol as the solvent. The solution is placed on a Teflon plate andallowed to dry at ambient conditions. After drying, the film is placedin an 88% R. H. cabinet until it is pliable. Appropriately sized insertsare cut from the film.

EXAMPLE 28

    ______________________________________                                        2-Sulfamoyl-5-Benzothiazolyl                                                                            1 mg.                                               Butyrate                                                                      Hydroxypropyl methyl cellulose q.s. ad.                                                                 12 mg.                                              ______________________________________                                    

Ophthalmic inserts are manufactured from a solvent cast film which isprepared by making a viscous solution of the powdered blend of the aboveingredients using a methanol/water solvent system (10 ml. methanol isadded to 2.5 g. of the powdered blend, to which 11 ml. of water (inthree divided portions) is added. The solution is placed on a Teflonplate and allowed to dry at ambient conditions. After drying, the filmis placed in an 88% R. H. cabinet until it is pliable. Appropriatelysized inserts are then cut from the film.

EXAMPLE 29

    ______________________________________                                        2-Sulfamoyl-5-Benzothiazolyl                                                                            1 mg.                                               Butyrate                                                                      Hydroxypropylmethyl cellulose q.s. ad.                                                                  12 mg.                                              ______________________________________                                    

Ophthalmic inserts are manufactured from compression molded films whichare prepared on a Carver Press by subjecting the powdered mixture of theabove ingredients to a compressional force of 12,000 lbs. (guage) at350° F. for one minute. The film is cooled under pressure by having coldwater circulate in the platen. Ophthalmic inserts are then individuallycut from the film with a punch. Each insert is placed into a vial, whichis then placed in a humidity cabinet (88% R. H. at 30° C.) for two tofour days. After removal from the humidity cabinet, the vials arestoppered and then capped. The vials containing the hydrated insert arethen autoclaved at 250° F. for one-half hour.

It is highly preferred that the solid inserts of this invention areavailable for use by the patient in a pathogen free condition. Thus, itis preferred to sterilize the inserts and so as insure againstrecontamination, the sterilization is preferably conducted afterpackaging. The best mode of sterilizing is to employ ionizingirradiation including irradiation emanating from Cobalt 60 or highenergy electron beams.

After packaging a convenient quantity of inserts, usually a single dose,the package is exposed to a sterilizing quantity of radiation. Thepreferred packaging employs sealing the inserts between layers of filmor foil and then sealing or laminating the layers together about theedges. The techniques for performing the sterilization are well knownand accepted, for example, as outlined in International Atomic EnergyCommission, Code of Practice for Radiosterilization of Medical Products,1967, pp. 423-431; and Block, Disinfection, Sterilization andPreservation, 2nd Ed., Lea & Febiger, Philadelphia, 1977, pp. 542-561.

The required quantity of irradiation can be determined experimentally bytesting irradiated inserts for viable bacteria. Generally, the amount ofirradiation desired to achieve sterilization is defined by the D₁₀value. The D₁₀ value is the radiation dose that will reduce a givenpopulation of organisms by a factor of 10. Based on D₁₀ values,experimentally obtained for Bacillus pumilus, and presterilizationcontamination levels, a dose of 1.36 megarads is effective in obtaininga sterile product.

Ophthalmic suspensions for treating elevated intraocular pressure in themammalian, human and animal eye using an active drug of this inventioncan also be prepared by employing flocculating agents and deflocculatingor suspending agents together, and by employing ratios of the variousproportional amounts of medicament, vehicle, flocculating agent anddeflocculating agent in the total suspension. Thus, the ophthalmicsuspension can comprise from 1 to 15 mg/ml of total suspension of themedicament, deflocculating agent as hereinafter defined, andflocculating agent as hereinafter defined, provided that the ratio offlocculating agent to deflocculating agent is from 7:1 to 30:1,especially 10:1 to 15:1, respectively, and the ratio of medicament todeflocuulating agent is from 300:1 to 1:2, especially 60:1 to 1:1,respectively. In its preferred aspect, however, the opthalmic suspensioncomposition of the present invention will contain from 1 to 15 mg/ml andespecially 2.5 to 10 mg/ml of total suspension of medicament; 0.05 to1.7 mg/ml and especially 0.15 to 1.5 mg/ml of total suspension ofdeflocculating agent; and 3 to 17 mg/ml and especially 4 to 15 mg/ml oftotal suspension of flocculating agent. The ophthalmic suspensioncompositions can also contain certain excipients whose presence isdesirable in preparing an acceptable ophthalmic suspension. The natureand proportional amounts of these excipients will be discussed in detailhereinafter.

The flocculating agents employed are alkanols of 1 to 4 carbon atoms,and aromatic alcohols selected from the group consisting of benzylalcohol, β-phenyl-ethyl alcohol and cinnamyl alcohol, and mixtures ofthe above. Mixtures of varying proportions are suitable, and, forexample, a mixture of benzyl alcohol and β-phenylethyl alcohol in aratio of approximately 1:1 by weight has been found to give excellentresults. As indicated previously, the flocculating agent will beemployed in the ophthalmic suspension in amounts such that the ratio offlocculating agent to deflocculating agent is from 7:1 to 30:1,especially 10:1 to 15:1, respectively.

The deflocculating or suspending agents employed in the ophthalmicsuspension compositions are products derived from the condensation ofpolymers of ethylene oxide containing from 10 to 50 oxyethylenerepeating units, and esters of fat acids of 10 to 18 carbon atoms.Especially suitable are such condensation products from fatty acidesters of sorbitol, particularly the lauric, stearic and oleic acidesters of sorbitol. The fatty acid esters may be employed as mixturesfrom naturally occurring oils, which are esters of fatty acids andglycerol. Thus, the deflocculating agent may be polyoxyethylenevegetable oil, available as Emulphor EL-719 from GAF Corporation.Naturally occurring fatty acid mixtures may be employed to produceesters of sorbitol for condensation with polyoxyethylene. Thus, thedeflocculating agent may be polyoxyethylene sorbitol lanolin,polyoxyethylene sorbitol tallow esters, and polyoxyethylene sorbitoltall oil, available respectively, as Atlas G-1441, Atlas G-3284, andAtlox 1256 from Atlas Chemical Industries. Particularly preferred areesters of sorbitol and specific fat acids, especially lauric, stearicand oleic acids. Thus, the deflocculating agent may be polyoxyethylenesorbitan monolaurate, polyoxyethylene sorbitan monostearate, orpolyoxyethylene sorbitan monoleate, available, respectively, as AtlasG-7596J, Tween 80 from Atlas Chemical Industries. The last namedproduct, Tween 80, which contains 20 oxyethylene units, has been foundto be especially suitable. As indicated previously, the deflocculatingagent will be employed in the ophthalmic suspension in amounts such thatthe ratio of medicament to deflocculating agent is from 300:1 to 1:2,especially 60:1 to 1:1, respectively.

By use of the particular flocculating and deflocculating agentsdescribed above, and in the critical range of proportionate amountratios of the present invention, it is possible to obtain acceptableophthalmic suspension compositions for the active drug which have thehighly desirable properties of having the suspended material uniformlydispersed therein during the period of administration to the eye of thepatient, while at the same time facilitating easy redispersion of thatmaterial after its flocculation and separation in the ophthalmicsuspension composition.

In addition to the medicament, flocculating and deflocculating agentsand water, conventional excipients and other materials areadvantageously employed in preparing the ophthalmic suspensioncompositions of the present invention in accordance with goodpharmaceutical practice. For example, the ophthalmic suspensions aresterile and preferably contain a bacteriological preservative tomaintain sterility during use. Quarternary ammonium bacteriostats suchas benzalkonium chloride may be used as well as phenyl mercuric acetate,phenyl mercuric nitrate, thimerosal, benzyl alcohol, or β-phenylethylalcohol. These bacteriostats may suitably be used in a range of from0.01 to 3.0 mg/ml and preferably 0.1 to 0.2 mg/ml of total suspension.An antioxidant may also be used to prevent oxidation of the medicament.Suitable antioxidants include sodium bisulfate, N-acetyl cysteine salts,sodium ascorbate, sodium meta bisulfite, sodium acetone bisulfite andother acceptable antioxidants known to the pharmaceutical art. Theseantioxidants may suitably be used in a range of 0.1 to 10.0 mg/ml andpreferably 0.2 to 3.5 mg/ml. In conjunction with the antioxidants,chelating agents such as disodium edetate may also be employed.

Viscosity inducing agents helpful in suspension characteristics of thecomposition, including cellulose derivatives such as hydroxymethylcellulose, hydroxypropyl cellulose and methyl cellulose, may also beused in the formulation. For this purpose, one may use from 5.0 to 10.0mg/ml and preferably from 1.5 to 3.5 mg/ml of such agents. Lecithin mayalso be used to produce helpful suspension characteristics for theophthalmic suspension composition, being employed for this purpose inamounts of from 0.05 to 1.0 mg/ml of total suspension, and preferablyfrom 0.1 to 0.4 mg/ml. A humectant is also sometimes used to help retainthe water of the formulation in the eye. High molecular weight sugarsare suitably used for this purpose such as sorbitol and dextrose in aconcentration of from 0.1 to 10.0 mg/ml and especially 0.5 to 2.0 mg/ml.Finally, since the formulation is autoclaved to obtain initial sterilityan autoclaving aid such as sodium chloride is normally added to theformulation. The ophthalmic suspension compositions of the presentinvention are prepared by methods well known in the pharmaceutical art.For example, Step (1): there is first prepared a supersaturated NaClaqueous solution such that the volume of water does not exceed 21/2times the amount of NaCl, and excess NaCl remains undissolved. Step (2):The medicament is then dispersed in the saline solution of Step (1)until a wet paste is formed. Step (3): The paste is sterilized byautoclaving at 121° C. under 15 psig pressure. Step (4): The viscosityinducing agent which is employed is then dispersed in water, clarified,and sterilized by autoclaving. Step (5): The other components of thetotal suspension composition are then added to water to form a solution.Step (6): The medicament paste from Step (3) is then added asepticallyto the viscosity inducing agent dispersion of step (4), and mixed. Step(7): The remaining suspension ingredients, prepared in Step (5), areadded aseptically to the mixture from step (6) by way of sterilizingmembrane. Step (8): Sufficient water is added to the suspension fromStep (7) to give the total desired volume. Step (9): The suspension isthen aseptically homogenized at 1500-2200 psig, subdivided anddistributed to suitable sterile containers.

The following examples illustrate preparation of the improved ophthalmicsuspension compositions of the present invention.

EXAMPLES 30-33

The following materials are admixed in a 1250 ml bottle: 24 g of2-sulfamoyl 5-benzothiazolyl 2,2-dimethylpropionate which is asufficient amount of medicament to result in a concentration of 10 mgper ml in the final samples, allowing for previously established 3.0%average; 0.4 g sodium bisulfite, 12 g NaCl, and 28 ml water (at 180°F.). This mixture, (I), is autoclaved for 30 minutes at 121° C. under 15psig. Separately, 3 g of hydroxyethyl-cellulose in 720 ml of water (II)and 0.4 g of lecithin in 80 ml of water (III) were autoclaved for 30minutes at 121° C. Then, (III) is admixed with (I) for 2 hours, and theresultant mixture poured into (II). Another mixture (IV) is preparedfrom 20 g of sorbitol, 2.36 ml of benzalkonium chloride, 10 g ofdisodium edetate, and water to give a final solution volume of 900 ml.Then, (IV) is added to the mixture of (I), (II), and (III) in sufficientquantity to give 1.8 l. overall. The 1.8 l. mixture of I, II, III, andIV is then taken and homogenized using a homogenizer at 2000 psig. Stocksolutions are then prepared for polyoxyethylene (20) sorbitan monooleateby dissolving 3 g of the material in 100 ml of water, and of benzylalcohol/β-phenyl-ethyl alcohol by admixing 50 ml of each alcohol.Varying quantities of the two stock solutions are then added to four 90ml aliquots of the homogenized mixture of (I), (II), (III), and (IV)prepared as described above, together with sufficient water to give atotal of 100 ml for each of four different samples.

EXAMPLE 34

    ______________________________________                                        Solution Composition a                                                        ______________________________________                                        2-sulfamoyl-5-benzothiazolyl                                                                          0.1 mg.                                               2,2-dimethylpropionate                                                        Peanut oil q.s. ad.     0.10 mg.                                              ______________________________________                                    

The solution is rendered sterile by filtration through a sterilizingfilter.

EXAMPLE 35

    ______________________________________                                        2-sulfamoyl-5-benzothiazolyl                                                                          0.5 gm.                                               2,2-dimethylpropionate                                                        Petrolatum q.s. ad.     1 gram                                                ______________________________________                                    

and the petrolatum are aseptically combined.

What is claimed is:
 1. A compound of the formula ##STR5## where R is C₁to C₁₈ alkyl; C₃ to C₆ cycloalky; C₃ to C₆ cycloalkyl C₁ to C₁₈ alkyl;C₁ to C₁₈ alkyl C₃ to C₆ cycloalkyl; phenyl where the phenyl group canbe substituted with one or more substituents selected from the groupconsisting of C₁ to C₁₀ alkyl, halo, and C₁ to C₄ alkoxy; phenylalkylwhere the alkyl moiety has from 1 to 4 carbon atoms and the phenylmoiety can be unsubstituted or substituted with halogen or C₁ to C₃alkyl; C₂ to C₁₈ hydroxyalkyl; C₂ to C₁₈ amino alkyl; C₂ to C₆ alkenyl;C₂ to C₆ alkynyl and aryl C₂ to C₆ alkenyl.
 2. A compound according toclaim 1 where R is C₁ to C₁₈ alkyl.
 3. A compound according to claim 1where R is methyl, ethyl, propyl or butyl.
 4. A compound selected fromthe group consisting of(2-sulfamoyl-5-benzothiazolyl) benzoate;(2-sulfamoyl-5-benzothiazolyl) propionate;(2-sulfamoyl-5-benzothiazolyl) butyrate; (2-sulfamoyl-5-benzothiazolyl)2,2-dimethylpropionate; (2-sulfamoyl-5-benzothiazolyl)cyclopentaneacetate; (2-sulfamoyl-5-benzothiazolyl) phenylacetate;(2-sulfamoyl-5-benzothiazolyl) cyclohexanecarboxylate; and(2-sulfamoyl-5-benzothiazolyl) acetate.
 5. A method for treatingglaucoma and ocular hypertension and for lowering intraocular pressurewhich comprises topically applying to an affected eye an intraocularpressure lowering effective amount of a carbonic anhydrase inhibitor ofthe formula: ##STR6## where R is C₁ to C₁₈ alkyl; C₃ to C₆ cycloalkyl;C₃ to C₆ cycloalkyl C₁ to C₁₈ alkyl; C₁ to C₁₈ alkyl C₃ to C₆cycloalkyl; phenyl where the phenyl group can be substituted with one ormore substituents selected from the group consisting of C₁ to C₁₀ alkyl,halo, and C₁ to C₄ alkoxy; phenylalkyl where the alkyl moiety has from 1to 4 carbon atoms and the phenyl moiety can be unsubstituted orsubstituted with halogen or C₁ to C₃ alkyl; C₂ to C₁₈ hydroxyalkyl; C₂to C₁₈ amino alkyl; C₂ to C₆ alkenyl; C₂ to C₆ alkynyl and aryl C₂ to C₆alkenyl.
 6. A method according to claim 5 where the carbonic anhydraseinhibitor is selected from the group consistingof:(2-sulfamoyl-5-benzothiazolyl) benzoate;(2-sulfamoyl-5-benzothiazolyl) propionate;(2-sulfamoyl-5-benzothiazolyl) butyrate; (2-sulfamoyl-5-benzothiazolyl)2,2-dimethylpropionate; (2-sulfamoyl-5-benzothiazolyl)cyclopentaneacetate; (2-sulfamoyl-5-benzothiazolyl) phenylacetate;(2-sulfamoyl-5-benzothiazolyl) cyclohexanecarboxylate; and(2-sulfamoyl-5-benzothiazolyl) acetate.
 7. A method according to claim 5where R is C₁ to C₁₈ alkyl.
 8. A method according to claim 5 where R ismethyl, ethyl, propyl or butyl.
 9. A method according to claim 5 whereinthe carbonic anhydrase inhibitor is administered in a water solublepolymeric insert.
 10. A method according to claim 9 wherein the polymeris hydroxypropylcellulose.
 11. A method according to claim 5 wherein thecompound is administered in an ointment base.
 12. A method according toclaim 5 wherein said compound is administered as a 0.01 to 5%preparation of the compound in a liquid vehicle.
 13. An ophthalmiccomposition for the topical treatment of glaucoma and ocularhypertension comprising an intraocular pressure lowering effectiveamount of a compound having the formula: ##STR7## where R is C₁ to C₁₈alkyl; C₃ to C₆ cycloalkyl; C₃ to C₆ cycloalkyl C₁ to C₁₈ alkyl; C₁ toC₁₈ alkyl C₃ to C₆ cycloalkyl; phenyl where the phenyl group can besubstituted with one or more substituents selected from the groupconsisting of C₁ to C₁₀ alkyl, halo, and C₁ to C₄ alkoxy; phenylalkylwhere the alkyl moiety has from 1 to 4 carbon atoms and the phenylmoiety can be unsubstituted or substituted with halogen or C₁ to C₃alkyl; C₂ to C₁₈ hydroxyalkyl; C₂ to C₁₈ amino alkyl; C₂ to C₆ alkenyl;C₂ to C₆ alkynyl and aryl C₂ to C₆ alkenyl.
 14. A composition accordingto claim 13 where the compound is selected from the group consistingof:(2-sulfamoyl-5-benzothiazolyl) benzoate;(2-sulfamoyl-5-benzothiazolyl) propionate;(2-sulfamoyl-5-benzothiazolyl) butyrate; (2-sulfamoyl-5-benzothiazolyl)2,2-dimethylpropionate; (2-sulfamoyl-5-benzothiazolyl)cyclopentaneacetate; (2-sulfamoyl-5-benzothiazolyl) phenylacetate;(2-sulfamoyl-5-benzothiazolyl) cyclohexanecarboxylate; and(2-sulfamoyl-5-benzothiazolyl) acetate.